When using Form 2943 to budget income, complete the necessary sections as follows.
Enter case name and number, and the payment month.
GRANT COMPUTATION
COMPARISON OF INCOME FOR PAYMENT MONTH TO THE INCOME STANDARD
This section provides the system with the financial information expected to occur in the payment month.
Enter the following information for all clients expected to have earnings in the payment month.
| 1., 2., & 3. |
RIN: Recipient Number
EARNED INCOME: Amount of gross earned income.
SELF-EMP. BUS. EXP.: Amount of self-employment business expenses, if it applies.
ADULT/TEEN/CHILD CARE COSTS:Amount of child care the client is expected to pay in the payment month.
NUMBER OF CHILDREN:Number of children that require child care. |
| 4. INELG. INDIV. EI (Code 602): |
Amount of budgetable earned income of an ineligible person who is a responsible relative. This amount must be figured manually by the caseworker and entered here (see WAG
10-04-01). |
| 5. CHILD SUPPORT PYMTS (541,547): |
Enter the amount of child support payments expected to be received by the client. This includes payments sent directly through the court. |
| 6. OTHER UNEARNED INC.: |
Enter the amount of other unearned income that does not have its own entry field (i.e., contributions, SSA, UI, etc.). |
| 7. SPONSORS OF NONCITIZEN LIABILITY (Code 549): |
Enter the amount of the Sponsor of Noncitizen Liability, if it applies. |
| 8. COURT ORDER SUPPORT, EDUCATIONAL EXPENSES (Code 466, 468): |
Enter the amount of court ordered support the client is required to pay. Also enter the amount of educational benefits remaining after subtracting educational expenses used to pay tuition, fees, day care needed for school, transportation, etc.
NOTE: This section does not apply to educational benefits that are totally exempt because they are from a program insured by the Federal Commissioner of Education, such as Pell Grants, and Guaranteed Loan
Programs. |
FOOD STAMP BENEFIT COMPUTATIONS - PAYMENT MONTH
This section must be completed for all cases that do not meet Simplified Processing criteria.
| QUALIFYING MEMBER (Y/N): |
Enter a Y or N to identify if a qualifying member is present in the FS Unit. |
| AIR CONDITIONING/HEATING STANDARD (Y/N): |
Enter a Y or N to identify if the unit is entitled to the Air Conditioning/Heating Standard |
| ELECTRICITY STANDARD (Y/N): |
Enter a Y or N to identify if the unit is entitled to the Electricity Standard. |
| TOTAL EARNED INCOME (346): |
Enter total earned income. |
| TOTAL UNEARNED INCOME (347): |
Enter total unearned income. |
| UTIL (349): |
Enter the combined amount of utility costs. |
| TME (352): |
Enter total medical expenses. |
| DCC (348): |
Enter the total amount of day care costs anticipated to be incurred. |
| NCA (357): |
Enter the noncompliance amount.
NOTE: For TANF sanctions, do not enter an NCA amount if the sanction is coded on the same Form 552. |
| FIL (358): |
Enter the amount of farm income loss. |
| HC (345): |
Enter the amount of housing costs. |
| CS (372): |
Enter the amount of the allowable child support deduction. |
VOTER REGISTRATION
Complete for every action.
Does the client want to register to vote?:
Enter Y or N.
CASH SUPPLEMENTAL CALCULATION - FORM 553GC (SECTIONS A, B, AND C)
SECTION A: DETERMINATION OF STEPPARENT/PARENT LIABILITY, INCOME OF INELIGIBLE LEGALIZED NONCITIZEN PARENT
In this section, enter information the system needs to compute stepparent or parent liability or to budget the income of an ineligible legalized noncitizen parent for both the payment month and the budget month.
Since a combination of stepparent or parent liability may exist on the same case at the same time, the form is made to handle up to 2 codes at one time. In cases where 2 parents have income, combine the income into one amount and compute a single
liability.
| ENTER TYPE CODE (550/560/604): |
Enter the Item 90 code that applies. |
| 1. LIABLE PERSON'S GROSS EARNED INCOME: |
Enter the liable person's gross earned income. |
| 2. SELF-EMPLOYMENT BUSINESS EXPENSES: |
Enter the amount of self-employment business expenses. |
| 3. EARNED INCOME DISREGARD (Max $90 per person): |
Enter a maximum of $90 earned income disregard for employment expenses for each employed person. If a liable person's earned income is less than $90, only allow the total gross earned income amount. |
| 4. LIABLE PERSON'S GROSS UNEARNED INCOME: |
Enter the liable person's gross unearned income. |
| 5. LIABLE PERSON'S FAMILY UNIT SIZE: |
Enter the number of persons the liable person is responsible for (i.e. the liable person and others living in the home that the liable person could claim as a federal tax dependent. Do not include anyone who is in the benefit unit). |
| 6. AMOUNT PAID TO PERSONS OUTSIDE HOME: |
Deduct any amount actually paid to persons outside the home who could be claimed as federal tax dependents by the liable person. |
| 7. ALI/CHILD SUPPORT SENT TO PERSON(S) NOT LIVING WITH LIABLE PERSON: |
Enter the amount of court ordered alimony or child support actually paid by the liable person to anyone not living with the liable person. |
SECTION B: DETERMINATION OF AMOUNT TO BE DIVERTED TO SUPPORT INELIGIBLE DEPENDENTS
In this section enter information that the system needs to determine the amount of income to divert to meet the needs of ineligible dependents.
| 1. NUMBER OF INELIGIBLE PERSONS IN HOME: |
Enter the number of ineligible persons in the home that the client is responsible for (i.e. the client if not in the case, ineligible spouse and/or an ineligible dependent child(ren)). |
| 2. NAMES OF INELIGIBLES: |
Enter the name of each ineligible person. |
| INCOME TO BE DEDUCTED FROM "PER PERSON" SHARE: |
Enter the amount of nonexempt income the ineligible person already has to meet their needs.
NOTE: For earned income of an ineligible person, allow the $90 employment expense and day care costs, if needed. |
| INDICATOR: |
Enter a Y if the person is ineligible due to failure to comply with Social Security Number (SSN) policy. |
SECTION C: DETERMINATION OF ELIGIBILITY DUE TO RECEIPT OF A LUMP SUM
In this section enter information the system needs to determine the period of cash ineligibility based on the receipt of a lump sum.
- AMOUNT: Enter the amount of the lump sum.
- DATE REC.: Enter the actual fiscal month that the lump sum was received (Mo/Yr).
- OTHER BUD. INC.:Enter the amount of other budgetable income received in the same fiscal month as the lump sum.
